.. L.!!........!.........................!..............................R Grayson Enterprises Ltd. First NA Seria! Rights ' Page 1 Approximate!y 1,500 words THE OTHER SPORTS SUPERSTARS: THE SPECIALISTS IN SPORTS MEDICINE Written by June Grayson Photographed by Richard Grayson ADVICE FROM THE EXPERTS Sportó  superstaró perforí iî publiã foò alì thå worlä  tï   see®  Ché  Ché  Rodrigueú driveó thå go!æ ba!¡  straighô  dowî  thå   fairwaù tï clincè anotheò wiî oî thå prï circuit® Batatá ió thå toð   scoreò foò thå Chicagï Stinç iî 2¶ consecutivå contests®  It'ó harä   tï misó Roî Rivera¬ thå Chicagï Bears§ linebacker¬ alì 7µ incheó anä   24°  poundó oæ him®  Ozziå Guil!en¬  198µ Americaî Leaguå  Basebalì   rookiå oæ the year, p!ays shortstop for the White Sox. Thå  sportó  pageó  don'ô head!inå thå  nameó  oæ  Barbará   Loscossï Bergin-Nader¬  Hugï Cuadros¬  Richarä Dominguez¬ anä Car!oó   Prietto®  Yoõ  maù neveò seå theiò faceó oî youò televisioî screen®   Yeô theù arå invo!veä iî sports¬  too®  Theù arå typica¡ memberó oæ   aî important specialty: doctors in sports medicine. Iî   fiftù  orthopediã  surgeonó  foundeä   thå   Americaî   Orthopediã foò Sportó Medicine®  Anotheò nationa¡ organization¬ thå Š  American Col#ege of Sportsmedicine, unites all hea!th .PA Š .. L!.........!...........................................................R professionals¬  aó  welì aó physicians¬  whï worë iî thió  field®  No÷  therå  arå  manù  otheò nationa¡  organizationó dedicateä  tï  thå  ad  vancement of sports medicine. Theså healtè professionaló havå specia¡  traininç iî medicinå  anä  exerciså  physio|ogy¬  theù  havå donå researcè  intï  hea!tè  anä  physicaì rehabilitation¬ anä theù arå dedicateä tï thå we!farå oæ thoså  athletes and patients entrusted to their care. Theù havå developeä scientifiã princip!eó thaô app!ù noô on!ù  tï  toð ath!eteó whï seeë tï attaiî thaô "peaë conditioning¢ thaô  wil¡  !eaä tï "peaë performance¢ buô wilì alsï app!ù tï middleageä adultó whï  wanô  tï  avoiä  thå  onseô  oæ  hearô  disease¬   diabetes¬  oò  otheò  degenerativå diseases. Drs®  Bergin¬ Dominguez¬ anä Priettï arå orthopediã surgeons®  Dr. Cuadros is a cardiologist. A!l four are active in sportó  medicinå  aó doctoró foò ath!etiã teams®  Alì fouò  alsï  havå #theiò owî private medica! practice. Al! four are Hispanic doctors whï  kno÷  firsthanä thå problemó thaô theiò Hispaniã patientó facå  iî  theiò dai!y !ives. "Genera!!ù  speaking,¢ Dr®  Bergiî says¬  "Hispaniã  patientó  resisô medica¡  treatment®  Wå tenä tï beaò thå pain®  É thinë iô  ió  #arô  oæ  ouò culturaì heritage®  Hispanicó a!sï maù bå  uncomfortab!å  abouô  leavinç  thå areaó wherå theù !ivå anä goinç tï seå  peop!å  whï  don'ô speak Spanish." "Iô alwayó amazeó må thaô doctoró whï havå Hispaniã  patientó  don'ô  !earî tï speaë Spanish®  É speaë Spanisè tï a!¡  oæ mù Hispaniã  patients® I think this puts them at ease. In fact, we won't hire Š.PA Š .. L......!..!........................................................R anyone to work in our office who does not speak Spanish." "Hispaniã  childreî  don'ô  wanô tï bå takeî  ouô  oæ  thå game,¢ continueó Dr®  Bergin®  "Wå kno÷ theù geô hurt® Wå eveî seå theí fal¡  anä graâ thaô parô oæ thå bodù whicè ió hurt®  Yeô  theù wilì  jumð righô uð anä saù - 'it'ó nothing§ - becauså theù wanô  tï staù iî thå game. Their fami!ies fee! the same way." Dr®  Domingueú  knowó  firsô hanä oæ thå "machï  stoicism¢ thaô keepó Hispanicó froí seekinç needeä medica¡  care® "Mù Mexicaî fatheò surviveä threå hearô attackó oî sheeò griô a!one® Oæ course¬ thaô ió noô #hå waù tï dï it®  Somå sportsmeî É kno÷ wi!¡ .#oô seeë medicaì  he!ð untiì theù completelù col!apse®  Hispanicó  maù  a!sï feaò hospita!s, because they view a hospita! as the place you go to die." Dr®  Cuadroó  thinkó thaô Hispanicó acô jusô !ikå otheò Amer icanó aó sooî aó thå languagå prob!eí ió overcome® Unti¡ then¬ theù finä iô hard to come right out and say - I have this kind of prob!em. "Hispanicó  don'ô havå anù uniquå genetiã  prob!ems,¢  Dr® Cuadroó says®  #However¬ É wisè thaô al¡ doctoró whï servå Hispanicó woulä  checë  theí  foò parasitå infestation®  Soutè oæ  Riï  Bravï everyonå haó parasiteó withouô knowinç it®  Parasiteó makå yoõ fee¡ weaë  anä  caî causå gastro-intestinaì prob!ems®  Yeô theù  caî  bå complete!ù eradicated with the proper treatment." Un!esó  yoõ arå aî athletå iî á teaí sport¬  yoõ  maù  noô kno÷ á sportó doctoò personally® Yoõ maù havå seeî onå ruî ouô oî á p!ayinç field to examine an injured athlete before he is moved. .PA Š .. L.........!........................................................R Page 4, GEL, Sp. Med. But most of a sports physician's work is done behind the scenes. Hå  oò  shå  maù givå emergencù carå aô thå  scenå  oæ  aî accidenô  anä 1ateò providå medica± oò surgica¡  treatmenô aó  indi cateä aô á hospita¡ anä decidå whaô rehabi!itatioî therapù ió needeä iî ordeò to return the patient to fu!! recovery. Buô  no÷ iî sportó medicine¬  aó we!¡  aó iî otheò medicaì specialties¬  thå  emphasió ió oî preventinç injurieó anä  i!!nesseó beforå theù start. Aó Dr®  Domingueú says¬  "Iô useä tï bå thaô É wou!ä gaugå ho÷  successfuì  É waó bù ho÷ manù patientó É haä iî  thå  hospital® No÷ wheî É have someone in the hospita! I wonder what I am doing wrong." Dr®  Priettï  stateó thaô thå mosô frequenô sportó  injurù involveó thå knee®  "Thå kneå ió askeä tï perforí thå mosô  comp!eø movementó anä ió alwayó exposeä tï injury®  Ouò surgica¡ techniqueó arå  mucè  morå  effectivå thaî on!ù á fe÷ yearó  ago®  Sincå  mosô sportó  physicianó arå firsô traineä aó  orthopediã  surgeons¬  theù wilì  wisè  tï continuå theiò orthopediã practiceó sï aó tï keeð  uð theiò surqical skills rather than do sports medicine full time." Thió  exp!ainó  whù  mosô  Orthopediã  surqeonó  arå  alsï specia!istó iî arthroscopiã surgery®  Teî yearó agï á joinô  injurù maù havå !eä t#á surgicaü operation¬  á teî daù hospita¡ stay¬ anä á recoverù period of several weeks. No÷ witè thå medica¡  instrumenô knowî aó thå arthroscope¬ Š joinô surgerù caî bå performeä througè aî incisioî sï sma!¡  thaô iô won'ô eveî need suturing. A !oca! anesthetic can be used, and .PA Š .. L.........!.......................................................R the patient can go home the same day and return to work in two or three days. Thå  Whitå Soø bal¡  c!uâ haó á teaí physiciaî whï ió  aî orthopedist®  Theù  alsï  havå  Dr®  Cuadroó iî chargå  oæ  medica¡ prob!emó anä physica¡  examinations® Dr® Cuadroó ió á specia!isô iî interna¡ medicine with a subspecia!ty in cardio!ogy. Dr®  Cuadroó says¬  "Iî cardio!ogù wå arå verù mucè awarå oæ thå importancå oæ physica¡  activity®  Onå oæ thå reasonó  thaô coronarù  hearô diseaså ió sï preva!enô iî thió countrù ió thaô  wå don'ô geô enougè exercise®  Thaô a!sï !eadó tï obesity®  Eveî ouò chi!dreî don't a!ways eat right or exercise enough." "Parentó  shou!ä  bå verù firí anä noô a!!o÷ chi1dreî  tï watcè  te!evisioî  wheî theù shou!ä  bå  p!aying®  Thå  televisioî shou!ä  neveò  becomå  á babù sitter®  Onå oò twï houró á  daù  oæ te!evisioî viewing is enough," says Dr. Cuadros. "Americanó  arå  beginninç tï rea!izå  thaô  theù  shou!ä continuå  regulaò  physicaì exerciså alì oæ theiò  lives®  ±  wanô Hispanicó  tï  realizå that¬  too®  Especiallù thå oldeò  Hispaniã womeî whï don'ô dï anythinç buô staù home,¢ Dr® Cuadroó says® "Yoõ don'ô  neeä anù specia¡  equipmenô tï geô uð iî thå morninç anä  gï foò  á  wa!k®  Anä  foò peop!å pasô forty¬  wa!kinç  ió  thå  besô exerciså thaô therå is®  Iæ yoõ wi!¡ wa!ë fasô foò jusô 15-2° min uteó á daù aô !easô threå timeó á week¬  yoõ wi!¡  seå á differencå iî youò appearance in two months. And I guarantee you wi!! feel better, too." Dr. Bergin says, "I ask a!! of my patients to engage in .PA Š .. L!.........!..........................................................R Page 6, GEL, Sp. Med. regulaò  physicaì exercise®  É urgå alì oæ mù womeî patientó tï  takå  ca!ciuí supp!ements® É aí á runneò myse!f¬ anä É aí happù tï saù thaô  É aí seeing more Hispanics out running now than there used to be." Thå Uniteä Stateó ió iî thå midsô oæ á sportó exp!sioî  t#aô  showó  nï signó oæ abating®  Sportó medicinå ió stilì aî excitinñ anä  expandinç fie!d. That is why sports physicians see new oppor- tunities for peop!e in sports careers. "É  wou!ä  !ikå tï seå morå Hispanicó consideò á  careeò  iî  sportó  medicine,¢  sayó Dr®  Prietto®  "Herå iî  southerî  Ca!iforniá  Hispanicó  arå  we!¡  representeä  iî sportó iî  e!ementarù  anä  higè  schools®  Buô  wå  don'ô havå enougè Hispanicó iî  co!!egå  anä  pro  fessionaì  sports®   Perhapó  theså  figureó  wi!¡  improvå  aó  morå  Hispanicó  gï  tï  co!!ege®  É wou!ä encouragå anyonå  interesteä  iî  sportó  tï consideò á careeò iî sportó medicine®  Yoõ don'ô  neeä  tï  becomå  á  doctoò tï dï this®  Yoõ caî becomå á  trainer¬  á  physica¡  therapist¬ oò aî exerciså physio!ogist¬ foò examp!e® Yoõ wi!¡ bå we!ì  rewarded." Tï paraphraså á sentencå froí TOTAÌ BODÙ TRAININÇ writteî bù  Dr®  Dominguez:"Nï  matteò whaô youò agå oò sex¬  sportó medicinå  caî  he!ð  yoõ !ivå uð tï youò physica¡  potentia|º  he!ð foò thå  hea!thy¬  hopå foò the injured, and aid to those who want maximum performance." ##### Š .PA Š .. L!.......!!!...!..........................................................R Pa#e 7, GEL, Sp. Med. SIDEBAR 1 WHAT IS THE BEST SPORT FOR YOU AND YOUR CHILDREN? Iæ yoõ thinë thaô foot#a!¡ ió á dangerouó sport¬ yoõ arå noô thå  on!y one! So does the Nationa! Ath!etic #rainers' Association. Accordinç tï á studù thaô grouð conducteä iî 1986¬ 3· percenô oæ  higè schoo¡  footba!¡  playeró suffereä aô !easô onå injury® A!thougè 75¥  oæ thå in#urieó werå minor¬  side!ininç thå p!ayeò foò !esó thaî onå week¬  a!mosô  10¥ oæ theí werå severå enougè tï incapacitatå á o#ayeò foò !ongeò  thaî three weeks. A!mosô  15£  oæ thå injurieó invo!veä thå kneå anä 10£  oæ  theí  werå severe enough to require surgery. Thå  mosô  commoî causå oæ injruù waó  "direcô  contact¢  durinç  practicå sessions. Thå  mosô  severå injurieó occurreä wheî á p!ayeò  returneä  toï  sooî after a minor injury from which he had not como!etely recovered. Here are the sports that a#e###--experts and their fami#ies pursue. Dr®  Bergiî  ió á runneò whï competå iî 1° ki!ometeò races®  Shå  p!anó tï starô heò daughter¬  whï ió a1mosô two¬  iî swimminç !essonó thió  summer. she says, "I think that it is especially importanô  foò gir!ó tï becomå involveä iî teaí soorts®  É  wi!¡  _alwayó regreô that my high schoo!s did not offer team competition Š foò  girls®  É aí siø feeô tal¡  anä wou!ä havå beeî qooä aô  basketba!!®  Eveî though there is a danger of too much #arenta! pressure, .PA Š .. L.........!...........................................................R Page 8, GEL, Sp. Med. statisticó  sho÷ thaô lesó injurieó occuò iî organzieä sportó  thaî  iî streeô play." Dr®  Cuadroó  p!ayó tennió fivå timeó á weeë betweeî 6.0°  aí anä  8.0° aí aô á courô ha!æ waù betweeî hió homå anä office®  Hió soî ió "nuts¢ about spo#ts and pitches for his co!1ege baseba!! team. Dr®  Domingueú ió á run|anä haó competeä iî marathonó iî  thå past®  Hå  says¬  "Iô ió neveò toï ear!ù foò peoplå tï takå uð sports® Buô  parentó  shouldn'ô "push¢ theiò chi!dren®  Wå wanô tï  avoiä  thå "overuså syndrome"¬ whicè caî occuò witè toï mucè pressurå iî organizeä sports®  Socceò ió thå #± sporô foò chid!ren¬ swimminç ió good- alì oæ mù ninå chi!dreî swií anä plaù soccer¬  excepô thå youngesô chi!d¬  whï ió  noô yeô twï yearó o!d®  Basketba!¡  anä vo!leyba!ì arå  gooä  teaí sports®  É  wou!ä noô prevenô mù chi!dreî froí p!ayinç anù sporô  theù wanteä  to¬  buô  É aí noô enthusiastiã abouô footba!¡  becauså oæ  thå injurù  rate®  Icå  hock£ ió #ooä untiì thå colle#å  anä  professionaì leveì - anä theî iô getó bruta!®  Gymnastics¬ especia!|ù foò qirls¬ haó thå hi#hest injury rate of all high schoo! sports. Dr®  Priettï haó ruî iî triatha!onó aó we!¡ aó marathons® Hå nï  !ongeò trainó aó much¬  buô sti!¡  exerciseó fouò timeó á  weeë  bù swimming¬ biking¬ anä go!fing® Hå says¬ "É don'ô be!ievå iî pushinç mù chi!dren¬  buô theù a!¡  1ikå sportó anä havå #eeî iî soccer¬ footbal!¬ basebal!¬  basketba!¡ - whateveò theö choose¬ wheî theù chooså it® Alì excepô my youngest chi!d who is not yet two." Š ##### .PA Š .. L!!........!!.........................................................R . SIDEBAR 2  MEET OUR EXPERTS BARBARÁ  LOSCOSSÏ  BERGIN-NADER¬   M.D®  ió  aî  orthopediã   surgeoî with West!ake Orthopedics, Sports & Rehabi!itation ##ssociateó iî Austin¬  Texas®  Heò motheò ió froí Monterey¬  Mexico®  Shå anä her husband, a!so a physician, have one daughter. She has participated in the care of manv high schoo! ath!etic teams. HUGÏ F®  CUADROS¬ M.D® ió á specialisô iî Interna¡ Medicinå  witè á sub-specia!tù iî cardio!ogy®  Hå attendeä medica¡  schoo¡  iî  Bo!iviá  anä  ió thå on!ù membeò oæ hió fami1ù tï movå tï  thå  Uniteä  States®  Hå  meô  hió wifå wheî hå attendeä  Northwesterî  Universitù  Schoo¡ oæ Medicinå foò hió post-graduatå training® No÷ hå ió chieæ oæ  cardiologù aô á Chicagï areá hospita!¬  aî assistanô professoò aô Rusè  Medica¡ Schoo!¬ anä á teaí physiciaî foò thå Chicagï Whitå Sox¬ alì iî  addition to his private medical practice. RICHARÄ H®  DOMINGUEZ¬ M.D.“ ió aî orthopediã surgeoî witè á  privatå  practicå  iî sportó medicinå anä arthroscopiã  surgery®  Hió  officeó arå aô SPORTSMEÄ iî Caro¡  Stream¬  á Chicagï areá suburb® Hå  ió  alsï CO-Foundeò anä Co-Medica¡  Directoò oæ SportsMeä  Centeò  foò  Fitness¬  adjo|ninç hió office®  Hå serveó á teaí Physiciaî foò !oca¡  higè schoo!s¬  hå accompanieä thå U.S® Swií Teaí tï thå Goodwilì Gameó  iî Mosco÷ iî 1986¬  anä hå ió thå orthopediã consu!tanô tï thå Chicagï  STINÇ  professiona¡  socceò team®  Hå haó writteî thå popu!aò  books¬  "Thå Comp!ete Book of Sports Medicine" and Š .PA Š .. L.....................................!.!............................!................R Page 10, GEL, Sp. Med. "Total Body Training". CARLOS A. PRIETTO, M.D. is an orthopedic surgeon in Orange, Ca!ifornia. He is an associate Professor in Orthopedic Surgery at the Col!ege of Medicine, University of Ca!ifornia- Irvine. He is the team physician for severa! area high schoo!s as we!l as for the 400 or more ath!etes at the University of California-Irvine. He has written extensive!y for many medical journa!s. He is now invo!ved in research for the Orthooedic Research and Education Foundation - a!! in addition to his private ##actice in orthopedic surgery. ########## #"o# ,#c oes# o# - .'- -.#_--_.......... So#ry, ## - cou!d#not get ev#rything/ theü  artio1e#see##ä  tï h#vå á minï  of#tó  'owî                                       r##ardin# dir£      ct#>î     af#eò     É      i###rv#.#weä                                       a!!|o#/these|!ovely, ####1.1 peo###. We ##!! have #o write a .PA Š